| NPI | 1033735352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 100191) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2022034073) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2022-12-20 |